(一名 病)
痉者。强也。千金云。太阳。中风。重感寒湿则变痉。盖太阳中风。身必多汗。或衣被
不更。
寒湿内袭。或重感天时之寒。地气之湿。因而变痉。风挟寒则血涩无汗为刚痉。风挟湿。则
液出有汗为柔痉。亦有血虚筋脉无所荣养而成痉者。筋急而缩为螈。筋弛而缓为纵。伸缩不
已为螈 。俗谓之搐搦是也。(有补遗)
百会 风池 曲池 合谷 复溜 昆仑 太冲
(有补遗)
羊痫 目上窜。作羊声。(即心痫也)
马痫 张口摇头。身体反折(按古五痫之名无马痫。别录有马痫而无犬痫。一云心痫目
瞪吐舌。仿佛马鸣马属火。亦属心也)。
鸡痫 张口前仆提住即醒(即肺痫也一云惊跳反折手 其声如鸡。又巽为鸡属木。金克
木也)。
犬痫 反折上窜。其声如犬(犬属木即肝痫也)
牛痫 直视腹满。声如牛吼(即脾痫也)。
猪痫 吐涎沫如绵。作猪声(即肾痫也○以上痫症。大率痰热惊三者所致)。
百会 神庭 上星 风府 风池 丝竹空 神门 肺俞(一本心俞。误) 巨阙 鸠尾
上脘 神阙 阳陵泉 阳辅
发于昼者阳跷 发于夜者阴跷
按痫病仆时身软或作六畜声。若中风中寒之类。则仆地无声醒时无涎沫。亦不复发。痉
病虽时发时止。必身体强直。反张如弓为辨。
(Also known as Epilepsy)
Jing disease (Spasm), meaning stiffness. The *Qianjin Fang* records: When the Taiyang channel is affected by wind-cold and complicated by wind-stroke, if it is further exposed to cold-dampness, it transforms into Jing disease (Spasm). This is because patients with Taiyang wind-stroke typically sweat profusely; if they do not change their clothes or bedding, cold-dampness invades from within. Alternatively, exposure to seasonal cold or environmental dampness can lead to this transformation. When wind carries cold, blood flow becomes sluggish and there is no sweating, termed Gang Jing (Stiff Spasm). When wind carries dampness, fluids are exuded and there is sweating, termed Rou Jing (Flaccid Spasm). There are also cases where Jing disease arises from blood deficiency failing to nourish the sinews. Sinew tension and contraction are called "Chi" (Contraction); sinew relaxation and laxity are called "Zong" (Relaxation). Continuous alternating contraction and relaxation are called "Chi Zong" (Clonic-Convulsive movements), commonly known as convulsions. (Supplementary text follows)
Baihui (GV20), Fengchi (GB20), Quchi (LI11), Hegu (LI4), Fuliou (KI7), Kunlun (BL60), Taichong (LR3)
(Supplementary text follows)
Yang Epilepsy (Sheep-type): Eyes roll upward, making sounds like a sheep. (This corresponds to Heart Epilepsy).
Ma Epilepsy (Horse-type): Mouth opens, head shakes, body arches backward. (Note: Ancient classifications of the five epilepsies did not include Horse Epilepsy; other texts list Horse but not Dog. One theory states that Heart Epilepsy involves staring and sticking out the tongue, resembling a horse's neigh. Horses belong to Fire and correspond to the Heart.)
Ji Epilepsy (Rooster-type): Mouth opens, falls forward; regains consciousness when lifted. (This corresponds to Lung Epilepsy. Another view describes jumping and arching back with hand movements and sounds like a rooster. In I Ching, Xun represents the Rooster, belonging to Wood; Metal overcomes Wood, thus relating to the Lung.)
Quan Epilepsy (Dog-type): Body arches backward and moves upward, making sounds like a dog. (Dogs belong to Wood, corresponding to Liver Epilepsy).
Niu Epilepsy (Ox-type): Stares straight ahead, abdomen distended, making sounds like an ox bellowing. (This corresponds to Spleen Epilepsy).
Zhu Epilepsy (Pig-type): Spits saliva like cotton wool, making sounds like a pig. (This corresponds to Kidney Epilepsy. ○ Generally, the above types of epilepsy are caused by Phlegm, Heat, and Shock/Fright.)
Baihui (GV20), Shenting (GV24), Shangxing (GV23), Fengfu (GV16), Fengchi (GB20), Sizhukong (TE23), Shenmen (HT7), Feishu (BL13) (Some editions say Xinshu, which is incorrect), Juque (CV14), Jiawei (CV15), Shangwan (CV13), Shenque (CV8), Yanglingquan (GB34), Yangfu (GB38)
Episodes occurring during the day involve the Yang Qiao vessel; episodes occurring at night involve the Yin Qiao vessel.
Analysis: When an epilepsy patient collapses, the body is soft, and they may make sounds resembling six domestic animals. In contrast, conditions like Wind-Stroke or Cold-Strike involve collapse without sound, no salivation upon waking, and no recurrence. Although Jing disease (Spasm) also comes and goes, it is distinguished by persistent bodily stiffness and opisthotonos (arching of the back like a bow).